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Child Has Cerebral Hemisphere Atrophy. Done Physiotherapy. Any Further Treatment?
Good morning sir, My patient is 5 yrs old male child,is a follow up patient as a case of Right cerebral hemisphere atrophy with mild grade hemiparesis since one year.There is no Maternal or Perinatal suggestive H/o diseases or events related to the Diagnosis.Child is alert,oriented,active& does all self care activities& also goes to school.I have put him for Physiotherpy-active&passive exercises&cognetive education planning under parantral guidance.My query is any further treatment can u suggest for the above Diagnosis. Thanx
Fri, 21 Dec 2012
Hi
This right cerebral hemisphere atrophy is due to perinatal asphysxia or due to stroke as a cause of infantile hemiplegia. But what is the underlying cause of the atrophy is important. So evaluation should be done with MRI Angio, 2D Echo, Thrombotic profile and homocystinuria and other investigations to rule out any underlying thromotic causes as these conditions reuire anticoagulation to prevent further stroke episodes. Physiotherapy is the mainstay of treatment the the outcome will be good in infantile hemiplegias.
This right cerebral hemisphere atrophy is due to perinatal asphysxia or due to stroke as a cause of infantile hemiplegia. But what is the underlying cause of the atrophy is important. So evaluation should be done with MRI Angio, 2D Echo, Thrombotic profile and homocystinuria and other investigations to rule out any underlying thromotic causes as these conditions reuire anticoagulation to prevent further stroke episodes. Physiotherapy is the mainstay of treatment the the outcome will be good in infantile hemiplegias.
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